Mr. Miguel Angel Correa
Family Doctor - Addiction Medicine
215 N 3rd St
Leesburg
, Florida 34748-5105
Mr. Miguel Angel Correa
Family Doctor - Addiction Medicine
215 N 3rd St
Leesburg
, Florida 34748-5105
(352) 360-6582
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Mr. Miguel Angel Correa
- 4521 Sw 159th Street Rd
- Ocala, FL
- Zip : 34473-3578
- Fax : (352) 360-6582
- Phone : (787) 594-8079
Second Address
- Mr. Miguel Angel Correa
- 215 N 3rd St
- Leesburg, FL
- Zip : 34748-5105
- Fax : (352) 360-6582
- Phone : (787) 594-8079
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Is Mr. Miguel Angel Correa a sole practitioner?
Is Mr. Miguel Angel Correa accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 13941 | PR |
National Provider Identifier
| NPI | 1710198239 |
|---|---|
| Provider Name | Mr. Miguel Angel Correa |
| First Address | Ocala, FL 34473-3578 |
| Second Address | Leesburg, FL 34748-5105 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2007 |
| Last Update Date | 29/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 013891700 | (05) | FL |
| IA462 | MEDICARE PTAN (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.